Functional Outcomes Following Combined Zacharin's Pelvic floor ...

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Aug 2, 2017 - Citation: Koh CE, Deans R, Korda A, Young CJ (2017) Functional Outcomes Following Combined Zacharin's Pelvic floor Repair and Rectopexy ...
Obstetrics & Gynecology International Journal

Functional Outcomes Following Combined Zacharin’s Pelvic floor Repair and Rectopexy for Pelvic Prolapse Research Article

Abstract Background: Recurrent or large pelvic prolepses are difficult problems. Satisfactory anatomical correction while preserving function and minimizing further recurrence remains a challenge. This study assessed the functional outcome and patient satisfaction following combined Zacharin’s procedure (mesh sacrocolpopexy, levatorplasty) and Rectopexy for large and recurrent apical and posterior compartment prolapse. Methods: Consecutive patients who underwent Zacharin’s procedure and Rectopexy were recruited. Medical records were reviewed. Quality of life (QOL) and functional outcome were assessed using P-QOL and PAC SYM questionnaires.

Result: Fifty eight patients had surgery, with a mean age of 64 (46-79). Mean follow up was 3.8 years. Overall, 84% of patients were satisfied with the outcome of their surgery. There were 4(7%) recurrent prolepses. Urinary and bowel symptoms improved significantly post surgery (p